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Abstract
Purpose: To present a case report of a patient with amelogenesis imperfecta rehabilitated with
26 CAD-CAM all-ceramic fully sintered zirconia crowns.
Case description: A male subject, 28 year-old, sought dental treatment presenting a clinical
condition compatible with amelogenesis imperfecta. All teeth had yellow, brown, and white
areas of weak enamel. Composite restorations were present on teeth 14, 16, 24, 25, 26,
27, and 46; dental caries were shown on teeth 36, 37, and 47. Hipersensitivity was reported.
The treatment included fully sintered zirconia crowns for all teeth, using a CAD-CAM system.
No problems of marginal adaptation of the crowns were detected, and the final results were
satisfactory for both the patient and the clinician.
Conclusion: The clinical rehabilitation of an amelogenesis imperfecta case is a challenge, and
a multidisciplinary approach is required. Zirconia all-ceramics crowns are an excellent option
to restore dental aesthetics as the opaque zirconia coping can mask dischromic abutments,
and the crowns have biocompatibility and improved physical properties.
a
Discipline of Fixed Prosthodontics, Faculty of
Dental Medicine of University of Porto, Porto,
Portugal
b Discipline of Anatomy, Faculty of Dental Medicine
of University of Porto, Porto, Portugal
c Department of Periodontology, Faculty of Dental
Medicine of University of Porto, Porto, Portugal
Resumo
Objetivo: Apresentar o caso clnico de um paciente com amelogenesis imperfecta, que foi
reabilitado com 26 coroas CAD-CAM de zircnia totalmente sinterizada.
Descrio do caso: Um sujeito do sexo masculino, 28 anos, procurou tratamento odontolgico
apresentando uma condio clnica compatvel com amelogenesis imperfecta. Todos os dentes
tinham reas amarelas, marrons e brancas de esmalte enfraquecido. Havia restauraes de
resina composta nos dentes 14, 16, 24, 25, 26, 27 e 46; crie dentria estava presente nos
dentes 36, 37 e 47. Relatou-se hipersensibilidade dentria. O tratamento incluiu coroas de
zircnia totalmente sinterizada para todos os dentes, usando um sistema CAD-CAM. Nenhum
problema de adaptao marginal das coroas foi detectado e os resultados finais foram
satisfatrios para ambos o paciente e o clnico.
Concluso: A reabilitao clnica de amelogenesis imperfecta um desafio e a abordagem
multidisciplinar deve ser mandatria. As coroas de zircnia so uma excelente opo para
a reabilitao de pacientes com esta anomalia, pois o opaco dos copings de zircnia pode
mascarar as diferentes cores dos pilares e o resultado final esteticamente aceitvel, com
biocompatibilidade e propriedades fsicas superiores.
Palavras-chave: Amelogenesis imperfecta; coroas; cermica de policristais de zircnia
tetragonal estabilizada pelo trio; esttica dentria
Correspondence:
Joo Carlos Sampaio Fernandes
Faculty of Dental Medicine of the University of Porto
Rua Dr. Manuel Pereira da Silva
Porto Portugal
4200-392
323
Introduction
Third Appointment
Case Description
Discussion
325
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